Patient Access Specialist - Business Services, 8am-4:30pm

Tupelo
PATIENT ACCESS
Full Time - Day

Posting Description

At North Mississippi Health Services, our mission is to “continuously improve the health of the people of our region.” Our vision is to “provide the best patient and family-centered care and health services in America.” We believe that fulfilling our mission and vision calls us to embrace the best people that form incredible connections to our patients and families.   We take pride in celebrating everything that makes you uniquely you – your talents, your perspectives, and your passions. At North Mississippi Health Services, we believe in connecting your passion with a purpose. When you are part of our team, you know what connected feels like.   #WhatConnectsYou

Job Description

**Registration & Discharge:** * Serves as registration access point resource for all patient-facing interactions regarding admission and discharge processes. * Initiates pre-registration process and guides patient through critical steps of verification, managed care resolutions, payment transparencies and ultimately financial clearance. * Verifies patient identity upon arrival, then initiates activation of record to be accessed through multiple clinical systems. * Obtains crucial confidential patient identification information including patient records, signatures and payment information repeatedly and ensures HIPAA guidelines are enforced when such information is obtained.  * Responsible for verification of insurance coverage for medical necessity screenings. * Held accountable for processing unscheduled patients and managing patient schedules across all departments. * Effectively communicates NMHS’ organizational revenue cycle and financial policies including estimates, charity plans and payment options to patients and patient representatives. * Coordinates strategy for patient flow, denial prevention, and cash collections * Provides financial counselling to patients and/or patient representatives to manage balances owed * Identifies trends and reports issues which are significant and recurring along with possible solutions to the Director of Patient Access * Obtains consent forms, insurance and other pertinent confidential patient information to ensure accurate medical record data entry to be reviewed by Joint Commission and CMS * Holds primary obligation to other departments to enter information timely to ensure efficient patient procedural flow & proper access of patient account in EMR by other departments in order to correctly identify patient, apply armbands, provide consent form and privacy acknowledgement for clinical chart * Processes edits including Case Management task list (maintaining correct status of patient ie, inpatient, observation, etc.) **Patient Account/Data Entry:** * Apply codes in the patient accounting system when appropriate to ensure an accurate financial record * Provides input and help design action plans in conjunction with leadership to identify and resolve payer and patient information related denials. * Provide comprehensive data such as emergency contacts, email addresses for Patient Portal, correct data for state and government reporting.  * Enters accommodation code for Room charges or hourly charges are based on the accommodation code entered by Access staff. * Daily maintenance of data edits to correct or add data which include clinical data, financial data, patient survey data, medical record data, etc. **Billing:** * Familiarity with payer eligibilities and ability to communicate that information to various NMHS staff * Ensure optimization of revenue and cash flow through collection of accurate, concise payer and patient information * Responsible for daily cash collections, deposits and reconciliation as assigned. * Works collaboratively with Health Care Foundation to assist patients in obtaining and funding COBRA coverage. * Recognizes patient eligibility for Medicaid and charity coverage processes and initiate appropriate application. * Work collaboratively with third party payors to resolve billing issues and impact timely and appropriate payment * Professionally and effectively communicates with third party carriers, vendors, patients, and hospital contacts to promote revenue cycle efficiency * Contacts insurance companies and patients regarding eligibility and payments * Serves as liaison between patients and insurance companies to resolve eligibility issues-Serves as liaison between third party payors and patients to effectively communicate financial clearance information. * Takes corrective action through systematic and procedural development to reduce or eliminate payment issues and delays. Job Knowledge  * High school diploma or equivalent required. * 1 year experience in related field required. * Ability to research, analyze, and communicate eligibility trends to identify opportunities and training issues; required * Must complete appropriate PAS training curriculum within timeframe defined by Revenue Cycle Leadership annually. * Excellent analytical and problem-solving skills; required * Must possess strong organizational and interpersonal skills. * Experience in Microsoft Office, Outlook, Third Party Payer websites; preferred * Ability to adapt to everchanging and unpredictable work environment; required

Requirements:

Licenses

You must have the following licenses to apply:

Education

You must have the following education to apply:
High School Diploma or GED